Question about Lines 14 & 15 on Billing Forms

moussa · May 20, 2025, 8:45pm

My understanding is that these lines, “Box 14. Onset Date” and “Box 15. Other Date,” generally need to be left blank unless there’s a very specific circumstance that requires their completion. However, when I opend a Miscellaneous Billing Options I see they are already filled, can we make them blank?

Best,

FYI,
My workaround is going to the database and clean the option in table form_misc_billing_options

This is a screenshot from claim submitted in OfficeAlly

moussa · May 22, 2025, 12:24pm

Here openemr/src/Billing/Claim.php

It looks like if there is no box qualifier specified use “431” indicating Onset. Same for box 15 and box 17 . In OfficeAlly they are blank, is there a reason why these are defaulted to these values?

github.com/openemr/openemr

src/Billing/Claim.php

fd593f14e


      
          }
          
          public function dateInitialTreatmentValid()
          {
              return $this->dateInitialTreatment() !== '';
          }
          
          public function box14Qualifier()
          {
              // If no box qualifier specified use "431" indicating Onset
              return empty($this->billing_options['box_14_date_qual']) ? '431' :
                  $this->billing_options['box_14_date_qual'];
          }
          
          public function box15Qualifier()
          {
              // If no box qualifier specified use "454" indicating Initial Treatment
              return empty($this->billing_options['box_15_date_qual']) ? '454' :
                  $this->billing_options['box_15_date_qual'];
          }

stephenwaite · May 22, 2025, 1:27pm

hi @moussa , pretty sure those segments are only sent if a date is put in the box.

moussa · May 22, 2025, 1:41pm

Thank you @stephenwaite for looking into this.

I noticed this issue when I tried to enter prior authorization number, and the system automatically populated the values in boxes 14, 15, and 17.